NPI 1164236071

Abigail Ginamarie Fernandez, MABCBA

Practitioner Behavior Analyst Tyler, TX

Practice location

Address: 1722 W Front St, Tyler, TX 75702-6823
Phone: (903) 593-4004

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-25-79034 (TX)

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Registry record

NPI: 1164236071
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2025
Record last updated: 3 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.